Individual
ANDREW J DANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST # J-314, NEW YORK, NY 10021-4870
(212) 746-1339
(212) 746-3426
Mailing address
525 E 68TH ST # J-314, NEW YORK, NY 10021-4870
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156634
NY
207RG0100X
Gastroenterology Physician
Primary
156634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01075570
—
NY
Enumeration date
10/09/2006
Last updated
09/11/2025
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